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ICD-10 Guide
ICD-10 CodesH61.01

H61.01

Billable

Acute perichondritis of external ear

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 H61.01 is a billable code used to indicate a diagnosis of acute perichondritis of external ear.

Key Diagnostic Point:

Acute perichondritis of the external ear is an inflammatory condition affecting the perichondrium, the connective tissue surrounding the cartilage of the ear. This condition is often characterized by localized pain, swelling, and tenderness of the external ear, which may be accompanied by erythema and warmth. Acute perichondritis can result from trauma, infection, or surgical procedures involving the ear. Common pathogens include Staphylococcus aureus and Pseudomonas aeruginosa, particularly in cases associated with piercings or other injuries. Diagnosis is typically made through clinical evaluation, with imaging studies such as ultrasound or CT scans used in complicated cases to assess for abscess formation or cartilage destruction. Management includes the use of antibiotics, anti-inflammatory medications, and in some cases, surgical intervention to drain abscesses or remove necrotic tissue. Early recognition and treatment are crucial to prevent complications such as permanent deformity or hearing loss.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic perichondritis
  • Identifying the underlying cause (infectious vs. non-infectious)
  • Potential for co-existing conditions (e.g., otitis externa)
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the cause of perichondritis
  • Lack of follow-up notes on treatment response
  • Misclassification of acute vs. chronic conditions

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed notes on clinical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Management of acute ear infections, trauma-related perichondritis, and post-surgical complications.

Billing Considerations

Ensure clear documentation of the cause of perichondritis and any associated procedures performed.

Primary Care

Documentation Requirements

Comprehensive history and physical examination, including patient-reported symptoms and treatment response.

Common Clinical Scenarios

Initial evaluation of ear pain, referral to specialists, and management of uncomplicated cases.

Billing Considerations

Document any referrals made and the rationale for specialist involvement.

Coding Guidelines

Inclusion Criteria

Use H61.01 When
  • According to ICD
  • 10 coding guidelines, H61
  • 01 should be used when the condition is acute and specifically affects the external ear
  • It is important to document the clinical findings and any treatments provided to support the use of this code

Exclusion Criteria

Do NOT use H61.01 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69200CPT Code

Removal of impacted cerumen

Clinical Scenario

Often performed in conjunction with the evaluation of ear pain.

Documentation Requirements

Document the reason for cerumen removal and any findings during the procedure.

Specialty Considerations

Otolaryngologists may perform this procedure frequently in patients with ear infections.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of ear conditions, including acute perichondritis, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ear conditions, including acute perichondritis, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of ear conditions, including acute perichondritis, which enhances the accuracy of patient records and treatment plans.

Resources

Clinical References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Coding & Billing References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Frequently Asked Questions

What are the common causes of acute perichondritis?

Common causes include trauma to the ear, infections following ear piercings, and post-surgical complications. Bacterial infections, particularly from Staphylococcus aureus, are frequently implicated.